Provider Demographics
NPI:1528150968
Name:BUCKINS, LINDA LANGFORD (RN, MSN, FNP-C)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:LANGFORD
Last Name:BUCKINS
Suffix:
Gender:F
Credentials:RN, MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1935 MOTOR STREET
Mailing Address - Street 2:PEDIATRIC GENERAL SURGERY
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235
Mailing Address - Country:US
Mailing Address - Phone:214-456-8404
Mailing Address - Fax:214-456-6320
Practice Address - Street 1:1935 MOTOR STREET
Practice Address - Street 2:PEDIATRIC GENERAL SURGERY
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235
Practice Address - Country:US
Practice Address - Phone:214-456-8404
Practice Address - Fax:214-456-6320
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX631831363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily